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Provider Profile

Jackie A. Gonzalez

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At a glance

About Jackie Gonzalez

Jackie A. Gonzalez is a nurse practitioner — psychiatric/mental health based in Waldorf, MD. The provider's National Provider Identifier (NPI) is 1407670094.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2016

Credentials & Licensing

MD licenceAs reported to the NPI registry
No. R131587As reported
NPINational Provider Identifier
1407670094Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jackie A. Gonzalez?

Jackie A. Gonzalez is a nurse practitioner in Waldorf, MD. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

What is Jackie A. Gonzalez's address?

Jackie A. Gonzalez is listed at 4307 Eagle Trace CT, Waldorf, MD 20602. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jackie A. Gonzalez?

The number on file is (301) 351-7881. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jackie A. Gonzalez's NPI number?

Jackie A. Gonzalez's National Provider Identifier is 1407670094. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jackie A. Gonzalez train?

Jackie A. Gonzalez attended Other, graduating in 2016. This comes from the CMS National Downloadable File.

CMS public data

How long has Jackie A. Gonzalez been practicing?

Jackie A. Gonzalez has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.

CMS public data

Has Jackie A. Gonzalez confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jackie A. Gonzalez. If this is you, claiming it is free.

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